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HomeMy WebLinkAbout72314D - Point;(CAMA / )< DREDGE & FILL 'rpt 1' op ►V%Jr_n No 72314 GENERAL PERMIT izl� / 19 A B c D Previous permit # f)(New XModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 0-714. 1100 T r,-� ❑ Rules attached. Applicant Name I F� r0w T 1—L- C Address 1900 Vi"ACr_ J>w JT RP City S IIAAi-L State Aft ZIP 2-8+70 Phone # (10 ) 4-43 - 081 4 E-Mail 4-heooin+0^4r M C' nr_t Authorized Agent J��I► r'1LAAA r S ❑ CW ❑ EW I)D PTA XES kT Affected ElOEA AEC(s): ElHHF ❑ IH n UHA o N/A/ ❑ PWs: ORW: yes / no PNA yes / no Project Location: County 1!> Ru /U5 W f G 1G Street Address/ State Road/ Lot #(s) i 8 0 9 Subdivision City Swau,oTTE ZIP Z8470 Phone # ( ) River Basin LtIN'6 eR Adj. Wtr. Body AN w man unkn Closest Maj. Wtr. Body A 1 w W Type of Project/ Activity 14STAW_#W S► V444 14 _ . ,i ran ■r�ti ■■■ MINE MEN i0p - No FUM avg distance offshore- max distance offshore in,channelit Boat ram Boathouse/ Boatlift MIN ME■■■■■■ ■■■■ ■■■■■ ME■EM ■■■■■■■■■■■ ■ EA ���E■ MEIN Muqf-�a�����a■E = ■■■■■■wI■■u■■■■■■kwi /a1"■■ ■■t=�!" IOPAJAMA Mm z ■IN■E ■■ , ININI I • ■EI . ' � 07 0���I! • - na�� 1 ■■MEIN■��EININE■IN■MEIN■■INE���I I�EI111 ■MEIN■�/IN■■INN■■■■■■E■■MEIN Ifillll■■■��E■ININ■■■EE■MINE■■■EEE■ I' w:al 111 c�:�IN■EININw■w�EwIN■�w�EE■■■■ I - il�il 111 ■■E■■E■: �R�E,�11:�V■�:�■■INN■■I • . '� lINI111 MEIN■■■■■wININEE■/IE■INEINEE■ININ� - 4t+ 11 ■■INR7�aIN�/L�'�T�t E1Lgl��■ M■■■E IN■E■■NEM MENEM `JI Ill ■MEEE■E■■IN■■■■EE■ININ■■E■IN ■INM■■■■ Agent or Applicant Printed Mime Signature "Please read compliance statement on back of permit" $ 4.00 / 9 38 Application Fee(s) Check # f yLER M C- Permit Officer—'s- Printed Name Signature 10I9 /;Zo l q 2/ 9 12020 Issuing D"ate - -r,D Moo w-,i-O 12/7-0 1 xpiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION C , Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized \ � d 'V- o—c av, �AcA� <�Ve Agent 1 to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: C--C..4- S'e C' (. -re� at my property located at CUcIy , <<c tC i��wr�SZ Z County. n l furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer, and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: SignatuRb Print or Type Na e Title LD/ M / 2(36 Date This certification is valid through 1! �k / -3 1 / I o'), 0 U.S. postal Service CERTIFIED MAIL � RECEIPT :I- D o, lie s!lc Wil Only LI n . ru F-Slivim ej V11 A L U S E ru 0459 05 al r- #w0k b Mpahim" C3 Fiw twdcoph 0 Rt. F.W WA—nlO Here C3 r-1 C.~ Mmo PAbj&�d DOWMY S-407k*— tC3 S Lo =tm w-ft. P.-w— —.- I C3 co Po~ $0.55 09/23/2019 oT. sn sea $6.85 cc seat To r; C3 ------ - - ---------- U.S. Postal Service' CERTIFIED M1IL9 RECEIPT Domesti C 47-34 O;71Y For d(AIVOry r,u -D ru ------ MARGTIM Fj 10 I A L US E , r- $ $3.50 0459 C:) Mt kb=k b(K add ft. 05 C3 Er-:3 0CwffldMd%W�ftd 006—Y POSIrrawk 3 M [3Adu1t30jftft PAW*W Hors r-jA.k*9---A--tWD.k, , CZ1 ro -0 M P offteo 09/23/2019 CD %W 7b r-3 C3 r- ------------------- ba . . .... . . .................. Receipts for Certified Mail (Staple Here) Carrie, 147i`f,'ke' A Adjacent Property Own r yo 3 C44-dyic4- flay Mailing Address City, State, Zip Code Dear Adjacent Property: This letter is to inform you that I, —77e. have applied for a CAMA Minor Property Owner Permit on my property at �� La u (, %�-� P in COUNTY Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form.. If you have any questions or comments about my proposed project, please contact me at ql 0-7J 7— Q 7 or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT LAMA Minor Permit Program, you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY, STATE, ZIP CODE Sincere Property er P( > ?UU 11%%C Mailing Address //LL City, State, Zip Code 10/1=019 USPS.com® - USPS Tracking® Results U SPS Tracking' Track Another Package + FAQs > Tracking Number: 70180680000070262054 Remove X Your item was delivered at 12:23 pm on September 30, 2019 in Q SHALLOTTE, NC 28470. v OV Delivered September 30, 2019 at 12:23 pm Delivered SHALLOTTE, NC 28470 Get Updates \/ Text & Email Updates Tracking History VAr MO https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=2&text28777=&tLabels=70180680000070262054%2C 1/3 a-2 Date ,�L Adjacent Propel Owner d"-7 o Gid C4—, lel Mailing Address -// x City, State, Zip Code Dear Adjacent Property: This letter is to inform you that I, Property Owner C Receipts for Certified Mail (Staple Here) have applied for a CAMA Minor Permit on my property at ! 7 V G 64 //. jf P'�- r � , in COUNTY Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at 910.7s�, ^ 2 7? Applicant's Telephone ,or by mail at the address listed below. If you wish to file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY, STATE, ZIP CODE Sincerely, Property Owrfer Mailing Address -5r'b 1? /6, 02o City, State, Zip Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to .��` (64 V- e L,/ 's (Name of Property Owner) property located at �i�� 6 �- (./ - `-,- Address, Lot, Block, Road, etc.) on in �� H-^c L,11 C, , N.C. (Waterbody) (Town and/or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) (2C J_, Signatur Print or Type Name XV'( 3'1 2.5 � 2- Telephone Number /-/ s s Dates— 2 Date Received Date Deuosited Check From Name Name of Permit Nokler Vendor Check Number Check amount Permit Numbe comments Receipt or Relund?tealbcated Columnl Column2 Column3 Column/ Column5 ColumnQ I Column? Column8 Column8 lQtlGf2Ol9 Inlet nil / am h P 1 4 14